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» Economics » Emergency medicine » Topics begins with H » Hypertonia

Page modified: Wednesday, July 13, 2011 14:44:30
ICD-10-Code hypertonia
I10.0Arterial hypertonus

Hypertonia (also: Hypertonus, Hypertension) is the medical technical term for Bluthochdruck.Das opposite, a blood pressure below the standard, as Hypotonie is thus designated.

There are illnesses with increased pressure in all important container areas of the body:

  • Arterial hypertonia: High pressure in the body cycle, i.e. in the arteries (Arterien) of the body.
  • Pulmonal arterial hypertonia (pulmonale hypertonia): High blood pressure in the lung cycle, i.e. in the Arterien of heart to the lungs.
  • Venous congestion: Increased pressure in the Venen.
  • Portals hypertonia: Increased pressure in the Pfortader.

In the daily linguistic usage arterial hypertonia is usually meant with hypertonia.

The arterial blood pressure, generally with BD or BP shortened, is measured only rarely today according to the original method by Riva Rocci by means of arm seal with mercury column and keys of the pulse. In the routine diagnostics the method with arm seal and Auskultation modifierte by Korotkow, is usually used. Nevertheless the abbreviation generally held itself "for RR "for the non-bloody measurement of the arterial blood pressure. The height of the blood pressure becomes frequently still in "millimeters mercury column" (mm Hg, torr), which old unit for the pressure indicated, although the correct SI-UNIT is Pascal, and which was abolished outdated unit torr outside of the medicine.


In Europe the of arterial hypertonia is constantly high for the 80's. With 66 years 66% the Central European have a blood high pressure. In Austria almost everyone estimates this illness as serious threat, however only approx. 50% knows about its blood pressure also - contrary to the USA, where 70% of the asked ones know their blood pressure values. In Austria well 1 million Hypertoniker is well-known - and thus can be proceeded from one further million, which lives as Hypertoniker unidentified. However only approx. 30% are in treatment also from the well-known high pressure patients in Austria. By these again only 10% are so adjusted that of a satisfying result it can be spoken against what the treating physicians of the opinion are 55% of the patients well to have adjusted.

Consequences of arterial hypertonia

According to data of the German high pressure league 45% of the deaths are caused 50% of the deaths with men, with women by heart cycle illnesses, which with arterial hypertonia in connection, like Koronare heart illness (KHK), cardiac infarct, heart insufficiency, kidney failure, impact accumulation, and arterial catch illness. The Inzidenz of the KHK deaths depends approximately linear on the blood pressure; it rises from 10/10.000 person year (normal blood pressure) up to 60/10.000 person year (systolic pressure > 180 mmHg). Since easy and middle blood pressure increase is many more frequent in our population than such extreme values, the public health risk is predominantly affected by handling with mildly increased values (> 140 mmHg).

Arterial hypertonia is simultaneous after the cigarette smoking the secondarymost important and the most frequent factor of risk for the occurrence of a heart cycle illness. Nowadays each second (51%) German and Austrian at a cardiovascular disease die. However 16,000 Austrians decease annually at a cardiac infarct. It becomes estimated that there would less be 1500 cardiac infarct-dead per year alone by the conversion of the new guidelines to Austria. If 100 high pressure patients were long medicamentous well adjusted 1 year, 1 death could be prevented.

Blood high pressure damages also the containers of the eye, so that a can occur.


About 10% of arterial hypertonias are secondary, i.e. they become by hormone disturbances (see Conn syndrome, Cushing syndrome, Hyperthyreose) or Nierenarterienstenosen caused and can be treated causally. The by far larger number of patients must be regarded however than primary or essential Hypertoniker and be treated long-lasting or lifelong with blood pressure-lowering measures.

As a the most frequent cause in these cases the illness caused by civilization spread in industrialized countries is regarded: Predominance, stress, lack of movement, alcohol and tobacco consumption. The connection of common salt (sodium chloride) in the food and hypertonia is statistically occupied, but nevertheless contentious. One believes that sodium increases the exciting barness of the smooth container musculature. Thus the Arterien and the flusswiderstand narrow themselves increase. Furthermore it can come to increased blood volume. Therefore sodium-poor food and Diuretika affect themselves by sodium from washing with a part of the patients blood pressure-lowering.


With patients with arterial hypertonia nearly always a endotheliale Dysfunktion with decreased synthesis and/or release of NO (nitrogen monoxide) is provable: a decreased activity of the endothelialen NO-Synthase and a increased NO-Metabolismus due to an increased education of free radicals probably play a crucial role. Besides the usually increased Homocysteinwerte has negative effects on the nitrogen monoxide available for the body. Consequences are Vasokonstriktion and an increase of the blood pressure values with increase of the arteriosklerotischen changes of the

Traditional Chinese medicine

In the alternativemedical disease concept of the TCM one speaks of liver abundance or ascending liver Chi. Frequently humans concerned should be Choleriker. They suffer from red eyes, have allergies, are heat sensitive, and sweat strongly. These are indications of the The TCM sets among other things on bleeding, much movement and to reach around Linderung or healing and also on a sedating (deriving) Akupunkturnadelung.

Articles in category "Hypertonia"

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» Htothorax
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» Hanging trauma
» Heart lung revival
» HWS rail
» Hypertonia
» Hypoglyke
» Hypotonie
» Hypovol shock
» Hypovole
» Hypoxia (medicine)

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